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Jurnal Gizi Klinik Indonesia

jgki
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Published by Universitas Gadjah Mada

ISSN : 1693900 EISSN : 25024140 DOI : -

Core Subject : Health, Science,

Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology Nursing Public Health

Jurnal Gizi Klinik Indonesia merupakan jurnal ilmiah nasional terakreditasi yang memuat artikel penelitian (research article) di bidang gizi dan kesehatan, yang terkait aspek gizi klinis, gizi masyarakat, gizi olahraga, gizi molekular, biokimia gizi, pangan fungsional, serta pelayanan dan manajemen gizi. Jurnal Gizi Klinik Indonesia (JGKI) diterbitkan empat bulan sekali sejak terbit Juli 2004 hingga Maret 2011 (Volume 1-7), kemudian sejak Juli 2011 (Volume 8) JGKI diterbitkan setiap tiga bulan. Jurnal Gizi Klinik Indonesia diterbitkan oleh Minat S2 Gizi dan Kesehatan, Prodi S2 Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Universitas Gadjah Mada bekerjasama dengan Persatuan Ahli Gizi Indonesia (PERSAGI) dan Asosiasi Dietisien Indonesia (AsDI).

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Articles 437 Documents

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Penambahan kelapa (Cocos nucifera) dan kacang tolo (Vigna unguiculata) terhadap nilai indeks glikemik singkong (Manihot utilissima) Rini Astuti; Heni Hendriyani; Muflihah Isnawati
Jurnal Gizi Klinik Indonesia Vol 10, No 1 (2013): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Backgound: The glycemic index (GI) is a notion that defences the glycaemic potency of foods. Foods with low GI will be digested and turned into glucose gradually and slowly. As a result blood glucose peak will not be so high and its fluctuation relatively in short time. Although cassava is a good source of carbohydrate, it has a high GI and low protein. Its GI factor needs to be reduced by any efforts to make it a healthy alternative food in spite of rice.Objective: To analize the effect of adding coconut and black-eyed pea to the GI factor of cassava.Method: The study used experimental observation design. There were three groups of treatment with 9 persons in each goup. After fasting for 10 hours, blood glucose were tested and 50 g of true glucose were given. Blood glucose of the subjects were tested again after 30, 60, 90 and 120 minutes giving true glucose. Next on the seventh day, they were given boiled cassava, cassava with coconut (sawut) and cassava with black-eyed pea (gintul). After which their blood glucose were also tested. Results: GI factor of steam cassava, shredded cassava and shredded cassava with black-eyed pea (gintul) was 100,40; 70,90; and 61,88; respectively. There was a significant difference of GI level between three products (p=0,031). Conclusion: Food processing by adding coconut and black-eyed pea has effect in reducing the GI level of cassava.

Pemanfaatan internet untuk edukasi gizi bagi penyandang diabetes mellitus Emyr Reisha Isaura; Probosuseno Probosuseno; Muhammad Primiaji Rialihanto
Jurnal Gizi Klinik Indonesia Vol 10, No 2 (2013): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: The pattern of disease incidence has changed nowadays as indicated from epidemiological transition, from infection to noninfection diseases or noncommunicable diseases. The quantity of diabetes mellitus (DM) patients in Indonesia is increasing every year. Integrated management of DM requires synergy from different parties. According to Act No. 36/2009 on Health, article 17 paragraph 1 states that the government is responsible for the availability of access to information, education, and health facilities to improve and maintain highest health status.Objective: The study aimed to analyze the utilization of the internet or online media in the dissemination of recommended eating pattern and physical activities of DM patients as prevention against complication.Method: The study used cross-sectional design and was carried out in January 2013 at Surabaya Municipality. It used e-survey, with secondary data from hospitals at Surabaya Municipality. Samples were DM patients of 20-50 years old registered in hospitals and agreed with informed consent. Samples were taken purposively involving 66 respondents.Results: There was a difference in eating pattern among DM patients utilizing online and those using nononline media (OR=3.33; CI 95%=1.06-10.43; p=0.03); and in physical activities (OR=0.09; CI 95%=0.01-0.75; p=0.008).Conclusion: The utilization of online media affected eating pattern and physical activity pattern in DM patient as much as 3.33 times and 0.09 times greater than in those not using online media in looking for communication, information, and education resources in supporting prevention against DM complication. Thus online media could be one of the effective and efficient methods for the delivery of communication, information, and education for DM patients by health staff.

Sanitasi, infeksi, dan status gizi anak balita di Kecamatan Tenggarong Kabupaten Kutai Kartanegara Andi Tenri Abeng; Djauhar Ismail; Emy Huriyati
Jurnal Gizi Klinik Indonesia Vol 10, No 3 (2014): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Malnutrition is a public health problem commonly encountered in developing countries. Almost 50% of 10-11 millions of mortality among children under-fives caused by malnutrition that is preventable. District of Kutai Kartanegara is known as the most wealth of district in Indonesia, yet the wealth cannot automatically solve the problem of its people. Numerous efforts have been made to solve malnutrition problem yet the morbidity rate is still relatively high.Objective: The study aimed to identify an association between sanitation with infection and nutritional status of under five at Subdistrict of Tenggarong, District of Kutai Kartanegara.Method: The study was observational with cross sectional design. Samples consisted of 187 under fives of 7-60 months taken using proportional random sampling technique. Variable of sanitation was obtained from the interview with subjects using questionnaire and direct observation. Variable of infection was obtained from an interview with subjects and cross check at health centers. The dependent variable of nutritional status was based on anthropometric assessment using weight/height index. The bivariate analysis used Chi-Square and multivariate analysis used logistic regression.Results: The result of the statistical test showed there was a significant association between sanitation and infection (acute respiratory tract infection/ARI, diarrhea) of under fives (p<0.05). There was an association between ARI and diarrhea with wasted children (p<0.05).Conclusion: There was the significant association between sanitation, infection and nutritional status of under five at Subdistrict of Tenggarong District of Kutai Kartanegara.

Pengaruh pemberian pangan antioksidan terhadap kadar malondialdehid plasma mahasiswi penyuka gorengan Inti Makaryani; Leily Amalia; Novi Rizqi Ramadhani; Karina Indah Pertiwi; Desy Dwi Aprillia
Jurnal Gizi Klinik Indonesia Vol 10, No 4 (2014): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Antioxidant elements such as vitamin C, vitamin E, lycopene, chlorophyl, polyphenol, and other flavonoid existed on various foods of fruits, vegetable, tea, coffee, and others. The foods are usually consumed in our every single day. Some previous studies had shown that there were various benefits of antioxidant elements for animal and human health. However, the antioxidative effect of the antioxidant elements in combating free radicals in the body is not similar to each other.Objective: This study was aimed to analyze the effect of antioxidant foods (green grass jelly drinks, tomato juice, papaya, and black tea) on blood levels of malondialdehyde (MDA) among college students.Method: The study was designed by pre-post test control study. Subjects were divided into five groups, consisted of four intervention groups and one control group. Every group consisted 6 persons. Each subject was asked to consume one kind of antioxidant foods in a single serving size per day for 21 days.Results: All of the subjects who consumed fried foods had high MDA levels in pre-intervention. The results of this study showed that MDA level in the group of green grass jelly drink decreased significantly (p<0.05). Plasma MDA levels tend to decline between pre and post intervention in the group of tomato juice, papaya, and tea, but they were not statistically significant (p>0,05).Conclusion: The antioxidant foods which can reduce plasma MDA level were green grass jelly drink. However, tomato juice, papaya, and tea can also reduce plasma MDA level, but not statistically significant.

Faktor risiko dan asupan isoflavon pada pasien kanker payudara I Wayan Dwija Karyasa; Johan Kurnianda; Herni Astuti
Jurnal Gizi Klinik Indonesia Vol 10, No 4 (2014): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Breast cancer is noncommunicable chronic disease the prevalence of which is increasing all over the world, including in Indonesia and particularly East Java. Causes of breast cancer are unknown. Some studies show risk factors for breast cancer are hormonal, genetic, reproductive and endocrinologic factors. There is the isoflavon compound in soybeans that is known as anti-cancer with anti-estrogen activities.Objective: The study was aimed at identifying risk factor and the difference of isoflavone intake between breast cancer patients and healthy people in hospitals.Method: The study was analytic observational using matched case-control study design at comparison 1:2 with matching on a status of menopause. Cases were positive receptor estrogen breast cancer patients newly diagnosed during the first visit at hospital outpatient Oncologic Surgery Polyclinic. Controls were staff considered healthy based on the result of health examination at Dr. Ramelan Naval Hospital of Surabaya. Cases comprised 49 people and control 98 people taken through consecutive method. Data consisted of an identity of samples, weight, height, isoflavone intake, family history, use of hormone replacement therapy and parity. Intake of isoflavones was obtained from semiquantitative food frequency questionnaire (SQ-FFQ) and statistical test used Chi-Square and Odd Ratio (OR).Results: There was the difference in isoflavone intake and family history between cases and controls (p<0.05) and there was an association between isoflavone intake (OR=2.58; p=0.007) and family history (OR=18; p=0.002) and the incidence of breast cancer. There was no association between the status of obesity, parity, and use of hormone replacement therapy.Conclusion: There are differences in isoflavone intake of breast cancer patients compared with healthy people and there was no difference in the status of obese breast cancer patients compared to healthy individuals and isoflavone intake less 2.85 times the risk of breast cancer compared with adequate intake of isoflavones.

Persepsi tubuh dan gangguan makan pada remaja Mohamad Yulianto Kurniawan; Dodik Briawan; Rezzy Eko Caraka
Jurnal Gizi Klinik Indonesia Vol 11, No 3 (2015): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: There can no longer be any doubt that adolescents do indeed have body esteem problems. Several types of research seem to suggest that this wrong behavior caused by some negative perceptions as a result of dissatisfaction with the body and a person’s level of self-confidence. Therefore they often do misperceptions of his/her body that can lead to wrong dietary behavior. It’s related to the development of more severe body image and eating-related problems.Objective: This study determined the relationship of body image perception and eating disorders in adolescents.Method: A cross-sectional study was applied in this study. The subjects were 120 new students majoring in a nutritional program in Bogor Agricultural University (IPB). They completed a questionnaire measuring appearance evaluation, appearance orientation, body areas satisfaction, overweight preoccupation, self-classified weight and eating disorders. Multidimensional Body Self-Relations Questionnaire-Appearance Scale (MBSRQ-AS) method is used to assess body image perception and Eating Attitude Test 40 (EAT-40) to predict eating disorders.Results: Descriptive analysis showed nutritional status were categorized as normal (83.3%), overweight (10.0%), obesity (4.2%) and thin (2.5%). With MBSRQ-AS method, most of the adolescents have appearance evaluation (80.0%), appearance orientation (99.2%), body areas satisfaction (80.8%), self-classified weight (71.7%) were categorized as negative, whereas overweight preoccupation (57.5%) were categorized as positive. There was (7.8%) female subject with eating disorders with more risk or have attitude the desire to eat continuously and can’t stop eating (2-3 times a month).Conclusion: Statistically using a significance level (α=5%) obtained a significant correlation between body image perception in overweight preoccupation subscale with eating disorders. However, there were no significant correlations for other subscales.

Faktor-faktor yang mempengaruhi kepatuhan diet pasien hemodialisis Fery Lusviana Widiany
Jurnal Gizi Klinik Indonesia Vol 14, No 2 (2017): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Riskesdas 2013 data shows the prevalence of chronic kidney disease in Central Java and Yogyakarta 0.3%, which is higher than the average prevalence across Indonesia which is only 0.2%. The results of the author’s study previously showed that the intake of energy, protein, sodium hemodialysis patients on average are not sufficient, while the average fluid intake exceeds the dietary recommendation. There are several factors that can affect dietary compliance of the hemodialysis patients, such as knowledge, family support, attitudes, and behavior.Objective: To examine the factors that affect dietary compliance of the hemodialysis patients.Method: This is an observational study with cross-sectional design, conducted in the hemodialysis unit of Dr. Soeradji Tirtonegoro Hospital, Klaten on March - October 2016, involving 60 respondents. The dependent variable is dietary compliance, while the independent variables are knowledge, family support, attitudes, and behavior. Data were analyzed using univariate and bivariate with Chi-Square test.Results: Chi-Square test results of knowledge with dietary compliance showed the p-value = 0.027; family support with dietary compliance showed the p-value = 0.045; attitude with dietary compliance showed the p-value = 0.045; and behavior with dietary compliance showed the p-value = 0.002.Conclusion: Knowledge, family support, attitude, and behavior affect dietary compliance of the hemodialysis patients.

Korelasi lingkar pinggang dan rasio lingkar pinggang-panggul terhadap kadar glukosa plasma menggunakan tes toleransi glukosa oral Farida Dwi Rokhmah; Dian Handayani; Harun Al-Rasyid
Jurnal Gizi Klinik Indonesia Vol 12, No 1 (2015): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: The increased circumference of waist and waist-hip ratio describe intra-abdominal fat which is associated with a number of metabolic disorders such as diabetes mellitus.Objective: The aim of the study is to analyze the correlation between the circumference of waist and waist-hip ratio in plasma glucose levels using the Oral Glucose Tolerance Test (OGTT) method in adults.Method: This study was a cross-sectional study involving 75 respondents from Klojen which is located in Malang and obtained by multistage sampling random. The variables in the study include circumference of waist, waist-hip ratio, fasting plasma glucose and plasma glucose after consuming glucose liquid. Data were analyzed using coefficient contingency and Spearman correlation.Results: This study found that based on waist circumference and waist-hip ratio, most of the subjects are categorized as not at risk. Furthermore, based on plasma glucose level measurement using OGTT, 96% of subjects are normal.Conclusion: There is no correlation between plasma glucose level using OGTT and waist circumference as well as waist-hip ratio (p>0.05).

Kondisi lingkungan fisik dan lama waktu bermain di luar rumah dengan kegemukan pada anak prasekolah Ika Agustina; I Made Alit Gunawan; Madarina Julia
Jurnal Gizi Klinik Indonesia Vol 12, No 4 (2016): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: The prevalence of childhood obesity in Yogyakarta Municipality has increased in recent years. The built environment of which are not designed properly may limit the time for children's outdoor activity.Objective: This study tried to investigate the links between parents perceptions of their built environment with outdoor playing time and obesity among preschool children in Yogyakarta Municipality.Method: This is a case-control study. Cases were identified as obese preschoolers (Z score based on W / H> 2 SD) and controls were children who were not obese (Z score based on W / H ≤ 2 SD) and matched by sex and age. Data were collected in the Yogyakarta Municipality. Samples were selected using multistage sampling method. The sample of cases and controls were 101 people (1: 1), respectively. conditional logistic regression statistical tests were performed to identify the risk factors for preschool obesity.Results: Children who did not play outdoors enough time were at higher risk of becoming obese (OR = 2,27, CI (1,14-4,62)); Built environment seems to be a modifier for outdoor playing time that will impact the odds of obesity among preschool children. Conclusion: Preschool children who played outdoor less than 2 hours had a higher risk of becoming obese. Outdoor playing time was associated with built environment.

Kadar kalsium serum pada anak stunting dan tidak stunting usia 24-59 bulan Yulinda Kurniasari; Mohammad Juffrie; Mei Neni Sitaresmi; Muhammad Dawam Jamil
Jurnal Gizi Klinik Indonesia Vol 12, No 3 (2016): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Children with stunning as the accumulations of the lack of nutrient or continuous infection are highly at risk to suffer from illness and death. In developing country, there are 165 million children under the age of suffering from stunting. Research done showed that nationally stunting prevalence in 2013 is 37,2 percent. West Borneo is one of the twenty provinces with the stunting prevalence above the national average. During the growth period, children need calcium, especially for ossification. The lack of calcium is mainly caused by inadequate intake and or non-optimal calcium absorption. Some of the previous research has shown that the level of calcium serum of children with stunting has significantly lowered than the normal children.Objective: The aim of this study was to analyze the calcium serum level of the children with stunting aged 24-59 months in Pontianak City.Method: This study is a cross-sectional design. It conducted in East Pontianak and North Pontianak subdistricts, from July to August 2015. A number of samples were 90 children. Statistical analysis was performed using chi-square, t-test, and logistic regression.Results: There was no significance in serum calcium level between stunting and nonstunting children (p=0,193). The average of the calcium serum level of the stunting children was 12,14±1,97 mg/dl, while the nonstunting children were 12,16±1,63 mg/dl. The t-test showed that there was no significant difference (p=0,966).Conclusion: There is no significant difference of the calcium serum level between the stunting and nonstunting children aged 24- 59 months in Pontianak City (p=0,193).

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